How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.42 Median $46.77 Typical High $123.03 | Facility | None | $20.42 | $46.77 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $26.92 | Professional | None | $16.98 | $20.42 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $81.28 Typical High $123.03 | Facility | None | $28.18 | $81.28 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $54.95 | Professional | None | $11.22 | $18.62 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $32.36 Typical High $81.28 | Facility | None | $15.85 | $32.36 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $38.90 | Professional | None | $13.80 | $19.50 | $38.90 |
Denver HMP Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $53.70 | Facility | None | $20.42 | $28.84 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $38.90 Typical High $104.71 | Professional | None | $21.38 | $38.90 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $56.23 | Facility | None | $26.92 | $50.12 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | None | $18.62 | $18.62 | $26.92 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $19.95 | Professional | None | $11.22 | $15.85 | $19.95 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.23 Typical High $13.49 | Professional | 52 · Reduced service | $10.00 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.07 Typical High $5.37 | Professional | 53 · Discontinued | $3.98 | $4.07 | $5.37 |
Where Colorado sits
The same service costs 3.5 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 25th of 51
$28.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.